Barriers to access to Primary Care for the LGBTQIA+ population: an integrative review

Introduction: The LGBT population is a group whose access to health care has historically been limited and is still crossed by complex issues ranging from the training of health professionals to the very organisational structure of the care system. Despite this, the scientific literature on the obst...

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Detalles Bibliográficos
Autores: Ferreira, Luan Moraes, Batista, Gisela Gomes, Boillet, Leoneide Érica Maduro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:Brasil
Institución:Sociedade Brasileira de Medicina de Família e Comunidade (SBMFC)
Repositorio:Revista Brasileira de Medicina de Família e Comunidade (Online)
Idioma:portugués
inglés
OAI Identifier:oai:ojs.rbmfc.org.br:article/3594
Acceso en línea:https://rbmfc.org.br/rbmfc/article/view/3594
Access Level:acceso abierto
Palabra clave:Minorias Sexuais e de Gênero
Atenção Primária à Saúde
Acesso aos Serviços de Saúde.
Minorías sexuales y de género
Atención Primaria de Salud
Accesibilidad a los servicios de salud.
Sexual and gender minorities
Primary Health Care
Health services accessibility.
Descripción
Sumario:Introduction: The LGBT population is a group whose access to health care has historically been limited and is still crossed by complex issues ranging from the training of health professionals to the very organisational structure of the care system. Despite this, the scientific literature on the obstacles faced by these individuals in Primary Health Care, the gateway and coordinator of care, is particularly scarce. Objective: To characterize the barriers involved in the access of the LGBTQIA+ population to primary care. Methods: This is an integrative review of scientific studies selected from the PubMed and Virtual Health Library (VHL) Regional Portal search platforms, using as search descriptors the terms Sexual and Gender Minorities, LGBTQIA+, Primary Health Care, Health Services Accessibility. Complete articles were included without time restriction, in English, Portuguese and Spanish. Texts such as: literature reviews; editorials; study protocols; expert opinions and experience reports were excluded. Results: The review was composed by the selection of 14 studies, and their contents were assigned to three axes of discussion: physical/organizational barriers, social barriers, barriers related to education/training of health professionals. Conclusions: It is essential to expand the social discussions about the theme of sexual and gender diversity to deconstruct the established prejudices, moreover, it is essential to review the physical and organizational structure — as well as the training of health professionals — to create an inclusive care environment.